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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
<br /> which may be mote restrictive tfian County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions. ' -
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the .owner has hired a contractor or
<br /> contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended work,,tiiey are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> , 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for which they will be responsible. If you, as the.owner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> - County. . ' ,
<br /> TRANSPORTATION IMPACT/UTiLITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees�may apply to the construction of new buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified.in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended, The undersigned also understands, that such fees, as may be due, will be identified;at the time of
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
<br /> final power release, .the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> �fees are.due, they must be paid prior to permit.issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION,LIEN LAW.(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
<br /> certify that I, the. applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owner"prior to commencement. � �
<br /> COPITRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
<br /> will'be done�in compliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> � h'ereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction: I also
<br /> . certify thaf I understand that the•regulations of otfier government agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions I must�take to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and,Environmentally Sensitive
<br /> Lands, VUater/Wastewater Treatment. .
<br /> - Southwest Florida Wate� Management District-Wells, Cypress Bayheads; Wetiand Areas, Altering
<br /> V1/atercourses�. � �
<br /> - Army Corps of Engineers-Seawalis, Docks, Navigabie Waterways.
<br /> . • � ' Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater.Treatment,
<br /> , � , Septic Tanks.
<br /> _ _ - _US_Environmental Protection_Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways. � �
<br /> I undersfand that the following restrictions apply to.the use of fill:�
<br /> - �Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
<br /> - If. the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida. �
<br /> - If the fill material. is. to be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> . construction, I certify that fill will be used only to fill the area within t(�e stem wall.
<br /> - If fill material is to be used in any area, I certify that use of such fill will not adversely affect. adjacent
<br /> properties. If use. of fill is found to adversely affect adjacent properties, the owner may be cited for violating
<br /> , the.conditions of the building permit issued under the attached permit application, for lots less than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan is required. ,
<br /> If I am the AGENT FOR THE OWNER, I promise in good faith to inform�the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing const�uction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. :A
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority to,violate; cancel, alter;��or
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a co�rection of errors in-plans; construction or violations of any codes. Every p�ermit issued shall�become.invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is.suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
<br /> may be �equested, in writing, from the Bu,ilding Official for a period not to exceed ninety (90) days arid will demonstrate
<br /> justifiable cause for the extension. If�work ceases for ninety(90)consecutive days,the`job is considered abandoned.
<br /> �.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING.TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FIPIANCING, CONSULT
<br /> � WITH YO�lR LENDER OR AN AT R Y--BEFORE RECORDIlVG YOUR-NOTICE OF.C.OMMENCEMENT._ �_ __._ __ _ _
<br /> FLORIDA JURAT(F: 11.7.0 •
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<br /> o.i /are personally known to me or h /have produced Who is/are personally known to me or has/have produced
<br /> � as identification. as identification.
<br /> � ` Notary Public �Q;c�► �� � X.f.i1� Notary Public
<br /> Commission No. � I l(J� � Commission No. �7� t� lp l�`-1 �
<br /> - NamebfNo r� �,pr�roD�qpeGiLE PHILLIpS NameofNot
<br /> . __° ��,:State of Florida-Notary Public � ;;;Rr'd��, AMANDA NOELLE PHILLIPS
<br /> =• �= Commission #G�3 tg6548 '_° O�=Sra!e of Florida-Norarv Public �
<br /> %� "' '�, �; Commission # GG 1665a8
<br /> � ��o�F�o�°: My Commission Expires =� �� M Commission Expires
<br /> December 10, 2021 '��OFFI�� 1'
<br /> ;�i � . ''"����"�� December 10, 202i �
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